|
Lap ing hernia repair recur
|
$988.38 |
$988.38 |
$988.38 |
$5,741.00
|
|
Largsc w/removal lesion
|
$5,746.17 |
$5,746.17 |
$5,746.17 |
$4,341.97
|
|
Largsc w/rmvl foreign bdy(s)
|
$649.74 |
$649.74 |
$649.74 |
$765.97
|
|
Laryngoscopy direct w/wo tracheoscopy dx exc newborn
|
$2,755.53 |
$2,755.53 |
$2,755.53 |
$2,480.71
|
|
Laryngoscopy w/fb removal
|
$2,755.53 |
$2,755.53 |
$2,755.53 |
$3,390.75
|
|
Laryngoscopy with biopsy
|
$2,755.53 |
$2,755.53 |
$2,755.53 |
$2,954.40
|
|
Laryngoscopy w/w/o tracheoscopy aspiration
|
$649.74 |
$649.74 |
$649.74 |
$660.10
|
|
Lateral canthopexy
|
$2,901.90 |
$2,901.90 |
$2,901.90 |
$3,837.72
|
|
Lb with mastopexy 15839
|
$2,635.17 |
$2,635.17 |
$2,635.17 |
$3,386.84
|
|
Lead acuity x4 spiral l 86cm
|
$3,053.13 |
$3,053.13 |
$3,053.13 |
$5,831.00
|
|
Lead ingevity 45cm pfret MRI
|
$3,783.22 |
$3,783.22 |
$3,783.22 |
$3,844.75
|
|
Lead tachy durata sj4 58cm
|
$4,375.80 |
$4,375.80 |
$4,375.80 |
$6,696.00
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$661.47 |
$661.47 |
$661.47 |
$1,100.74
|
|
Lens iol 23.0 d 1.5 cyl eyhance toric
|
$2,080.55 |
$2,080.55 |
$2,080.55 |
$1,489.57
|
|
Lens iol ant bicnvx 24.0 multi
|
$2,080.55 |
$2,080.55 |
$2,080.55 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$238.43 |
$238.43 |
$238.43 |
$216.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$84.15 |
$84.15 |
$84.15 |
$97.62
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$64.88
|
|
Liberta rc ipg
|
$30,975.62 |
$30,975.62 |
$30,975.62 |
$39,840.21
|
|
Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution
|
$65.33 |
$65.33 |
$65.33 |
$39.75
|
|
Ligation/biopsy of temporal artery 37609
|
$1,842.63 |
$1,842.63 |
$1,842.63 |
$2,968.00
|
|
Ligation/major artery/extremity 37618
|
$3,377.22 |
$3,377.22 |
$3,377.22 |
$1,567.80
|
|
Ligation major artery neck
|
$3,038.58 |
$3,038.58 |
$3,038.58 |
$3,724.63
|
|
Liletta, 52 mg
|
$2,844.61 |
$2,844.61 |
$2,844.61 |
$1,790.04
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$167.08 |
$167.08 |
$167.08 |
$172.25
|
|
Lipase
|
$56.61 |
$56.61 |
$56.61 |
$83.20
|
|
Lipoprotein direct measurement hdl
|
$67.32 |
$67.32 |
$67.32 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$78.03 |
$78.03 |
$78.03 |
$60.00
|
|
Lithium therapeutic drug level
|
$99.96 |
$99.96 |
$99.96 |
$67.60
|
|
Liver Function Test
|
$60.69 |
$60.69 |
$60.69 |
$110.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$43.95
|
|
Low cost skin substitute app
|
$714.00 |
$714.00 |
$714.00 |
$1,030.00
|
|
Low cost skin substitute app
|
$2,121.09 |
$2,121.09 |
$2,121.09 |
$2,164.64
|
|
Low cost skin substitute app
|
$714.00 |
$714.00 |
$714.00 |
$1,132.56
|
|
Low cost skin substitute app
|
$714.00 |
$714.00 |
$714.00 |
$1,030.00
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$2,076.21 |
$2,076.21 |
$2,076.21 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$878.73 |
$878.73 |
$878.73 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$4,236.57 |
$4,236.57 |
$4,236.57 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,788.57 |
$1,788.57 |
$1,788.57 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$597.72 |
$597.72 |
$597.72 |
$344.00
|
|
Lung Function Test (Spirometry)
|
$195.84 |
$195.84 |
$195.84 |
$298.50
|
|
Lvad shower bag heartmate
|
$1,090.58 |
$1,090.58 |
$1,090.58 |
$972.60
|
|
Magnesium
|
$55.59 |
$55.59 |
$55.59 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$69.30
|
|
Mammosite ced
|
$4,207.50 |
$4,207.50 |
$4,207.50 |
$5,100.00
|
|
Manipulate wrist w/anesthes
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,084.80
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$142.80 |
$142.80 |
$142.80 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$221.85 |
$221.85 |
$221.85 |
$178.75
|
|
Marker biop eviva buckle ss
|
$4,438.84 |
$4,438.84 |
$4,438.84 |
$1,213.20
|
|
Marker lymphatic sentimag magtrace 10 vial
|
$1,940.24 |
$1,940.24 |
$1,940.24 |
$1,753.29
|
|
Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm
|
$7,029.17 |
$7,029.17 |
$7,029.17 |
$6,321.00
|
|
Mayo alcohol definitive assay volatile screen
|
$82.62 |
$82.62 |
$82.62 |
$118.95
|
|
Mayo infectious agent antigen immunoassay direct optical observation cryptococcus
|
$71.40 |
$71.40 |
$71.40 |
$81.04
|
|
Mayo psaft prostate specific antigen free
|
$150.45 |
$150.45 |
$150.45 |
$92.50
|
|
Mayo tgrp testosterone total
|
$73.95 |
$73.95 |
$73.95 |
$139.34
|
|
Measurement post void urine by ultrasound
|
$471.24 |
$471.24 |
$471.24 |
$176.40
|
|
Medroxyprogesterone 150 mg/ml im injection (wrapper)
|
$72.42 |
$72.42 |
$72.42 |
$227.25
|
|
Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm
|
$2,346.00 |
$2,346.00 |
$2,346.00 |
$1,154.53
|
|
Membrane amnioband 2x2cm -cost per sq cm
|
$10,558.16 |
$10,558.16 |
$10,558.16 |
$402.60
|
|
Membrane amnio clarix 4x3cm 1k -cost per sq cm
|
$2,500.02 |
$2,500.02 |
$2,500.02 |
$2,873.32
|
|
Meperidine (pf) 25 mg/ml injection (wrapper)
|
$85.68 |
$85.68 |
$85.68 |
$41.34
|
|
Meropenem 1 gram intravenous solution
|
$84.15 |
$84.15 |
$84.15 |
$70.93
|
|
Metabolic Blood Panel (Basic)
|
$51.00 |
$51.00 |
$51.00 |
$107.25
|
|
Metabolic Blood Panel (Comprehensive)
|
$66.81 |
$66.81 |
$66.81 |
$142.40
|
|
Methylergonovine 0.2 mg/ml (1 ml) injection solution
|
$101.41 |
$101.41 |
$101.41 |
$76.59
|
|
Methylprednisolone acetate 40 mg/ml suspension for injection
|
$95.42 |
$95.42 |
$95.42 |
$67.62
|
|
Methylprednisolone sodium succinate 1,000 mg intravenous solution
|
$201.03 |
$201.03 |
$201.03 |
$205.86
|
|
Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr
|
$84.15 |
$84.15 |
$84.15 |
$22.62
|
|
Metronidazole 500 mg/100 ml in sodium chlor(iso) intravenous piggyback
|
$145.35 |
$145.35 |
$145.35 |
$28.46
|
|
Midazolam 1 mg/ml injection solution
|
$85.68 |
$85.68 |
$85.68 |
$60.68
|
|
Midazolam 1 mg/ml in sodium chloride IV infusion (wrapper)
|
$99.87 |
$99.87 |
$99.87 |
$108.00
|
|
Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk
|
$145.35 |
$145.35 |
$145.35 |
$103.70
|
|
Mnpj anes sho jt fixj aprats
|
$371.79 |
$371.79 |
$371.79 |
$1,893.84
|
|
Mnpj elbow under anes
|
$1,763.07 |
$1,763.07 |
$1,763.07 |
$2,094.40
|
|
Mnpj of tmj w/anesth
|
$1,415.76 |
$1,415.76 |
$1,415.76 |
$2,207.28
|
|
Monitor reveal linq ii cardiac
|
$7,267.50 |
$7,267.50 |
$7,267.50 |
$9,583.13
|
|
Monovisc inj per dose
|
$2,105.20 |
$2,105.20 |
$2,105.20 |
$1,741.47
|
|
Morphine 4 mg/ml injection (wrapper)
|
$115.00 |
$115.00 |
$115.00 |
$72.78
|
|
Morphine 4 mg/ml injection (wrapper)|discarded drug not administered
|
$85.68 |
$85.68 |
$85.68 |
$38.54
|
|
Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual
|
$350.37 |
$350.37 |
$350.37 |
$309.50
|
|
MRA abdomen post contrast
|
$1,754.40 |
$1,754.40 |
$1,754.40 |
$2,144.35
|
|
MRI chest without contrast
|
$1,788.57 |
$1,788.57 |
$1,788.57 |
$1,810.38
|
|
MRI chest without & w/contrast
|
$3,684.75 |
$3,684.75 |
$3,684.75 |
$2,564.10
|
|
MRI lower extremity other than joint without contrast (both sides)
|
$1,788.57 |
$1,788.57 |
$1,788.57 |
$2,096.84
|
|
MRI lower extremity other than joint without & w/contrast (both sides)
|
$2,993.70 |
$2,993.70 |
$2,993.70 |
$2,713.80
|
|
MRI orbit/face/neck without contrast
|
$1,730.43 |
$1,730.43 |
$1,730.43 |
$1,813.00
|
|
MRI orbit/face/neck without & w/contrast
|
$2,895.27 |
$2,895.27 |
$2,895.27 |
$2,674.83
|
|
MRI tmj
|
$2,685.15 |
$2,685.15 |
$2,685.15 |
$1,818.25
|
|
MRI upper extremity other than joint without contrast (both sides)
|
$1,788.57 |
$1,788.57 |
$1,788.57 |
$1,951.95
|
|
MRI upper extremity other than joint without & w/contrast (both sides)
|
$2,993.70 |
$2,993.70 |
$2,993.70 |
$2,655.25
|
|
MRI upper extremity w/dye
|
$2,076.72 |
$2,076.72 |
$2,076.72 |
$1,968.59
|
|
Muscle-skin graft leg
|
$3,318.06 |
$3,318.06 |
$3,318.06 |
$4,332.25
|
|
Mycophenolate mofetil 250 mg capsule
|
$5.61 |
$5.61 |
$5.61 |
$12.06
|
|
Nafcillin 2 gram solution for injection
|
$84.15 |
$84.15 |
$84.15 |
$77.12
|
|
Nalbuphine 10 mg/ml injection solution
|
$84.15 |
$84.15 |
$84.15 |
$43.66
|
|
Naloxone 0.4 mg/ml injection (wrapper)
|
$84.15 |
$84.15 |
$84.15 |
$86.76
|
|
Nasal endoscopy dx uni/bi separate proc
|
$308.04 |
$308.04 |
$308.04 |
$372.00
|
|
Nasopharyngoscopy w/endoscope
|
$308.04 |
$308.04 |
$308.04 |
$298.52
|
|
Natriuretic peptide
|
$277.44 |
$277.44 |
$277.44 |
$176.15
|
|
N block inj hypogas plxs
|
$1,380.06 |
$1,380.06 |
$1,380.06 |
$2,092.25
|